Since last year, the World Anti-Doping Agency WADA has been monitoring the doping tests of cybersportsmen.

The “Yekaterinburg-Expo” hosted the all-Russian tournament for gamers “Cyberfest-2016”. Having been in the thick of things, Life asked the participants about a forbidden topic, and specifically about doping in computer sports. The organizer of the festival Ilya Marshev, as well as DotA and League of Legends players Alexei Mamylov, Ilya Vostryakov and Mikhail Brud, told Life about the intricacies and tricks in virtual competitions .

– There really is a problem with doping. And not to say that these are isolated cases, – the organizer Ilya Marshev admits. – Professional players, focused on the result, not just the pleasure of the game process, use various chemicals that enhance the reaction and can increase the performance.

Until recently, there were no checks at the virtual sports championships, only since 2015 WADA began to monitor the situation with doping. The list of prohibited drugs includes anabolic agents and steroids, peptide hormones and growth hormones, mimetics, metabolic modulators, Beta2 agonists, as well as marijuana, cannabis, hashish, synthetic THC, cannabimimetics (spice), heroin, methadone, morphine, fentanyl and their derivatives. After that, the world of computer competitions became fairer, but automatically got another problem.

WADA also included anabolics and steroids in the list of drugs prohibited for e-sports. How do they affect the improvement of results in virtual competitions ?! Right! In no way anabolics and steroids are able to affect the performance of a gamer, but for their use the league can ban the whole team of the amateur to swing. The anti-doping agency included them in the list of prohibited ones, because WADA did not develop a separate program for e-sports, but ascribed already existing standards to it, without understanding the intricacies. This copying of the postulates without analyzing the sport itself caused a lot of controversy among gamers and virtual competition experts. In particular, this applies to steroids, which some gamers use to pump their own body in their free time from competition.

– There is an opinion that the list of drugs prohibited for gamers, which has been introduced by ESL, can provoke conflict situations, – Ilya Marshev commented. – For example, there is a gamer who, in addition to playing games, loves to go to the gym, and in order to achieve results as soon as possible, the guy starts taking steroids. However, the catch is that after that he will no longer pass the doping control in the professional ESL championships. And he will be disqualified.

Ilya remembered that less than a year ago in Europe there was already a similar scandal with one of the cybersportsmen who was caught using steroids and excluded from the competition.

Overclocking hardware, not brain

As in any sport, where not only an athlete participates, but also some kind of mechanism, be it a car, a bicycle or a biathlete’s rifle, there are always technical tricks. Six years ago, “codes of immortality” and “eternal patrons” were ubiquitous, but the situation began to change for the better since 2010, when not only the athlete himself was banned for cheating, but entire teams.

“Technical doping in esports, the so-called cheat codes, are programs that change the game settings and give a gamer or team an advantage over rivals,” explains Ilya Marshev, organizer of Cyberfest-2016. – For example, in the game Counter-Strike at one time there was a very popular cheat code, the so-called white dot. Using this cheat, the player could see where his opponents are, even if they were hiding on other floors or behind walls.

But this is already an unfair game. Ilya said that at the Cyberfest championships they fight cheats simply and effectively. The fact is that players are physically unable to download their software to tournament computers, because the necessary software is already installed on the machines and there is no hard drive as such. Another forbidden e-sports life hack is the special setting of a computer mouse, the so-called macros – programs that allow you to assign a multi-step action of the hero to pressing just one key or several.

– The main problem with cheats now is that you can play with them, train, and then you come to the tournament, and they will tell you that you cannot use them, – explains the captain of the 1FALL team Alexey Mamylov. – Many well-known players who abundantly used cheats and macros predicted a quick failure after the ban, but they showed absolutely the same result at the next tournament. So in fact, these additional programs will not give a bad player any superpower.

Alcohol

The culture of gamers is somehow connected with alcohol. Many of the regulars in computer clubs like to have a couple of beers during a CS game. According to gamers themselves, alcohol helps to concentrate, in turn, relaxing and killing anxiety.

– Alcohol relieves unnecessary anxiety, allows you to more fully immerse yourself in the process and focus only on the game, – says Ilya Marshev. – Alcohol is prohibited in competitions, only energy drinks are allowed. We were in one of the clubs where the guys trained before “Cyberfest”, they drank alcohol, but behaved quite adequately.

At the moment, there is one known incident with an esports player who was disqualified from ESL for drinking alcohol. The European esports league then canceled the gamer’s results after the competition, but did not disclose the name of the athlete.

– If the tournament is important, where you can win money, then it is unlikely that a professional player will show up for it drunk and in poor condition, says the captain of the Huesosi Team Mikhail Brud. – It’s like athletes who have to run a hundred meters will come to the start after a sleepless night.

Nootropics and stress pills 

There is a stereotype that since speed is important in e-sports, players will definitely accelerate their reaction speed with some kind of substance. However, this is not entirely true, but rather a myth, and in reality everything is quite the opposite. Many gamers prefer not to be “accelerated” during the tournament, but to be extremely collected and concentrated. Therefore, professional cybersportsmen often use tranquilizers or beta-blockers – medications that help relieve stress, tremors and anxiety that interferes with concentration. Gamers use sedatives: from banal valerian, antidepressants such as novopassit, which is freely available in any pharmacy, to strong tranquilizers. For example, ten years ago, one of the best players in Unreal and Quake 4, Ricardo Zanozio, admitted that a dose of Valium helped him at the CPL Winter tournament. The Germans went even further and in 2008, specifically for gamers, they developed a “legal tranquilizer”, calling it FpsBrain. Many e-sportsmen do not shy away from nootropics – the favorite pills of students who need to write a term paper or a diploma in a short time.

– In Russia we have an analogue of the German legal doping, but only weaker. This is glycine, – says Ilya Vostryakov, the leader of the Edem za prizovimi team. – If you drink it as a course, then it also calms the nerves and increases concentration. This is exactly what I need in DotA when I’m in third position against several opponents at once.

– I think that the doping of the Germans is marketing, otherwise they would have won en masse in all competitions, says the captain of the Huesosi Team. – As for nootropics, the same glycine or piracytam, I personally know those who take them. They say it helps.

Psychostimulants: amphetamine and others

In the 2008 documentary about esports athletes, Frag, pro gambler Michael Carmac Blichars listed specific drugs popular with gamers. In particular, he mentioned the so-called crystal meth, which is a form of amphetamine, Ritalin and amphetamine itself.

All these drugs sharpen perception, give strength and improve concentration. Last summer, player Corey Semphis Friesen of the American team Cloud9 admitted that he and the entire team took Adderall, a psychostimulant that is used in some countries to treat attention deficit hyperactivity disorder in children.

– I heard that someone is playing under “speed”. But this is not at all the best way out, – explains gamer Mikhail Brood. – But if an athlete plays lousy, then no drugs will save him.

Already on the next weekend will be held on the main Russian eSports tournament EPICENTER on Counter Strike: Global Offensive in St. Petersburg. After last year’s meldonium scandal in big-time sports, we decided to find out how things are by the end of 2017 in esports, especially in CS: GO , where quick reactions and clarity of mind are the main guarantee of victory. We asked questions to Roman Dvoryankin , General Manager of the Russian eSports organization Virtus.pro , who also heads the anti- doping working group of the World Federation .

– The first question – is the problem of doping in e-sports as acute as in ordinary sports? Now professional athletes are in such a position that it is almost impossible to break world records just in training, and someone is constantly using something anyway. Is there really a PROBLEM with doping in esports?

– Due to its specificity, esports stands out in terms of physical indicators that need to be improved to achieve a result. For example, anabolic steroids used to increase muscle mass will not help an esports athlete in any way . Therefore, the only doping for cybersports is substances that improve attention, increase concentration and help fight drowsiness. Even potentially, the problem of doping in eSports is not so acute. Is there a problem? At the moment, there is a serious problem, since all the major tournaments already have a drug test, and it is on kibersportsmeny earns money tournaments. If we assume that the athlete accepts something at the time of training , this will not help him in any way at the tournament, since there he must be “clean”.

– The last scandal in esports dates back to 2015: Adderall *, amphetamines, marijuana. Has anything changed in two years, both in relation to the drugs themselves and to the attitude to doping in terms of the organizers?

– Just after those scandals , doping tests were introduced at major competitions, so now everything is quite professional. So far, it is not as strict as in classic sports, but we are moving in this direction. For example, recently a video was released on our channel dedicated to how these doping tests go.

– Really Do these preparations can actually dramatically enhance the ability of pro-gamer? So that everything in slow-mo happens like in video games ? Or are they minor changes that don’t affect the final performance?

– Globally, doping has no effect: you will not play like The International champions if you are a mid-range player. There are drugs that can improve the player’s reaction by 5-10 percent and suppress the feeling of anxiety, however, when the difference in the skill of the players is a fraction of a percent, when equal teams are playing , 5-10 percent can already affect the result.

– How strongly do simple energetics influence the work of the organism and do they affect it at all? Do they really help athletes with loads during training and in tournaments, or is it marketing?

– Energetics have several properties, the main one of which is, of course, the placebo effect: you drank a jar and think that now you will definitely not want to sleep . But objectively, almost all energy drinks contain at least caffeine and taurine, which actually help fight drowsiness and invigorate. There is no ban on caffeine yet and is unlikely to be.

– Will doping control be introduced on an ongoing basis at all tournaments, or at least at all Premier Series tournaments in major disciplines?

– Already now, there is doping control at all major CS: GO tournaments , DOTA2 and other disciplines are slightly behind , but I think that literally next year they will also catch up.

– On the eve of EPICENTER CS: GO – will there be doping control?

– As far as I know, doping control will be there, but we always proceed from the fact that even if it is not known in advance whether it will be or not , we must be ready for anything, and that no prohibited substances will be found in the athletes .

Let’s also remember how the active work with doping in esports began in general : ESL Katowice , 2015 . After the crushing defeat of Cloud9 (they could not even leave the group), a member of the Semphis team , in a conversation with a journalist, said quite relaxedly that “absolutely everyone here takes Adderall *, no one cares. We were told that we have problems with communication in the team – well , here is the answer to all your questions. ” This did not lead to any sanctions against the team or player, but accelerated the introduction of doping tests in all major tournaments. And although a direct link between success in eSports and the use of Adderall has not yet been proven , it is banned for use in tournaments.

That very scandalous interview

* Adderall is an amphetamine- based psychotropic stimulant designed to enhance mental and physical performance. A drug commonly prescribed to treat attention deficit hyperactivity disorder (ADHD) in children. It has a narcotic effect.

Ligament sprains are a common type of injury that results in fiber tearing due to excessive tension or sudden movement in the joint. The most common injuries are the wrist, ankle and knee joint. This type of injury can be recognized by its characteristic symptoms. Treatment is conservative, unless there is a ligament rupture.

The reasons

Ligament tears more often occur in athletes, as well as people who lead an active lifestyle. The reason is mechanical stress that exceeds the bond strength threshold.

It can be a fall on an outstretched arm or leg, an unsuccessful turn of the limb, or subluxation. Due to the unnatural position of the body, the ligament is overstrained, so the ligamentous tissue is stretched or torn.

Predisposing factors:

•                                 engaging in a traumatic sport;
•                                 overweight;
•                                 uncomfortable shoes;
•                                 congenital or acquired anomalies of tendon development;
•                                 changes in articular joints caused by infectious diseases, trauma or arthrosis .

Symptoms and degrees

As a result of stretching, the damaged ligaments do not perform their functions, so the joint becomes unstable. When small vessels are injured , areas of hemorrhage appear, which is manifested by hematomas and soreness. Damage to the nerve endings leads to numbness of the limb, loss of sensitivity.

The first symptoms of trauma to the capsule- ligamentous apparatus are a characteristic clap, which is accompanied by sharp pain. Further, signs of a sprain appear within 3 days. It:

•                                 pain that increases with movement and palpation;
•                                 instability of the articular joint;
•                                 restriction of movement;
•                                 edema;
•                                 swelling;
•                                 local temperature rise, skin redness;
•                                 hyperemia;
•                                 cyanosis of the skin.

Depending on the severity, there are 3 degrees of sprain:

•                                 The first is characterized by damage to several groups of fibers. Pain is the main symptom; other signs may be absent.
•                                 The second degree of damage is severe stretching. Symptoms of a partial ligament tear are pain, swelling, and loss of joint function. Possible injury to the capsule of the articular joint.
•                                 The third degree is rupture of tendon fibers. As a result of ruptures, acute pain occurs, edema and hematoma appear. Due to the strong pain syndrome, the movements are constrained.

With the first two degrees of sprain of the joint ligaments, spontaneous healing is possible, which occurs after 2-3 weeks. Tendon ruptures rarely go away without surgery.

Depending on the localization of damage, there are such types of sprains:

•                                 Carpal joint. This type of injury occurs when a fall or a sudden movement of the wrist.
•                                 Shoulder joint. Ligaments are injured with a sharp swing or jerk with the hand.
•                                 Elbow joint. It is caused by contact sports or fighting.
•                                 The clavicular joint. Excessive loads, heavy lifting, sudden changes in position, falls and impacts become the reason.
•                                 Knee joint. It is accompanied by damage to the meniscus. The cause is the twisting of the lower leg.
•                                 Ankle joint. Occurs as a result of a fall or bad turn. Read more about ankle sprain →

The last two types of damage are most common.

Preventive measures for stretching the capsule- ligamentous apparatus (KSA):

•                                 Avoid injury. To do this, you should wear comfortable shoes with ankle fixation, refuse high-heeled shoes. When playing sports, you need to use elastic bandages on the joints. When rollerblading or skateboarding, protect your knees and elbows from injury.
•                                 Warm up the joints before playing sports. Without warming up, the likelihood of damage to the ligaments is high.
•                                 Get rid of excess weight.
•                                 Strengthen the musculo-ligamentous apparatus. This is the prevention of joint damage.
•                                 Choose a balanced diet. Food should contain a sufficient amount of vitamins and minerals.

You need to be extremely careful if the ligaments have already been stretched before. It is important to undergo a rehabilitation course.

Ligaments are highly regenerative, so the prognosis is favorable. With the help of conservative techniques, it is possible to completely restore the working capacity of the limb.

Summer is coming – the period of open sandals and sandals. Alas, many have nails and skin affected by fungus, which does not look very beautiful. It is important to understand that this is not only an aesthetic, but primarily a medical problem.

In some cases, fungal skin lesions can be a harbinger of serious diseases, such as diabetes. Do not start the disease, because the treatment process takes on average a year or more. To quickly get rid of the harmful “neighbor”, take tests for fungus in CITILAB and start treatment now.

How can you get infected with skin and nail fungus?

More than 40 species of various parasitic fungi ( dermatophytes ) are known that can affect the skin and nails. The most common are representatives from the genera Trichophyton , Microsporum and Epidermophyton . For growth and reproduction, they use a special substrate – keratin, of which the top layer of the skin (epidermis), hair and nails are composed. Penetrating into the epidermis or into the nail plate, the fungus is fixed there, begins to grow and multiply.

You can get infected from a sick person, through objects (towels, wooden shelves in the bath, sauna, rugs, benches in public pools, manicure / pedicure tools) and through contact with the soil, if you like to walk barefoot in nature.

At-risk groups

The most common types of fungal diseases are mycosis of the skin of the feet and onychomycosis of the nail plates. From the moment of infection until the first clinical symptoms appear, it takes from several weeks to several months.

More often than others, men suffer from fungal diseases. Among women, those who constantly wear pointed shoes, especially those with high heels , are more likely to develop the disease . In this case, the toes are constantly flattened, which leads to friction, small wounds, abrasions, which are the entrance gate for infection.

You can “catch” the fungus in a regular beauty salon during the pedicure procedure, if the master used improperly processed instruments. To remove spores and fungal fragments from metal surfaces of nippers, scissors and tweezers, instruments must be sterilized in a dry heat cabinet. Not all salons have such equipment, therefore they are limited to “soaking” in a disinfectant solution and “drying” in ultraviolet boxes. Such processing does not fully protect against infection.

The frequent addition of a fungal infection can signal the development of diabetes. According to statistics, diabetics are three times more susceptible to mycosis. The fungus can also appear with allergic skin lesions (itching, inflammation, oozing ), combing insect bites; while taking antibacterial drugs, corticosteroid hormones, antidepressants.

Symptoms of mycosis of the feet

•                       Dry skin, cracks, peeling in the interdigital folds;
•                       Itching;
•                       Hyperkeratosis (thickening of the skin of the feet);
•                       Increase in lesions;
•                       In some cases, a staphylococcal infection joins the fungal infection, which is quite difficult to cure.

Symptoms of onychomycosis (nail fungus)

Among all nail diseases, onychomycosis is up to 40%. And the share of dermatophytes accounts for up to 90% of all fungal nail infections. The most common causative agents are fungi of the genus Trichophyton .

In this case, the appearance of a fungus may be preceded by injury to the nail or constant softening of the nail plate due to high humidity. This, for example, is possible when wearing the same pair of shoes / sneakers daily.

As the infection progresses, the color of the nail changes – part of the nail becomes yellow, grayish or whitish. Over time, the stain grows, and the nail itself thickens – subungual hyperkeratosis develops .

Diagnosis of fungal diseases

To diagnose mycoses and onychomycosis , CITILAB uses special tests for the detection of fungi. Biomaterial (fragments of hair, nail plates, skin particles) is analyzed under a microscope. If the infection has occurred and the filaments of the mycelium (the body of the fungus) are visible, the diagnosis is confirmed.

How to protect yourself from fungus

•                       After a bath or shower, wipe the skin of your feet dry, especially in the interdigital spaces;
•                       If you wear closed shoes, change socks / knee-highs daily;
•                       Change your shoes every two to three days, do not wear the same pair every day;
•                       Do not go barefoot in public places (swimming pool, steam room, sauna, fitness club);
•                       If someone in your family has a fungal disease, give them a separate set of towels and linens. Wash them separately at maximum temperature;
•                       If the skin of the feet or nails on one leg is affected by fungus, use two different sets of manicure / pedicure tools so as not to transfer the infection to healthy areas;
•                       If you have diabetes, keep your blood sugar under control. “High sugar” reduces the rate of healing of skin wounds (“diabetic’s foot”), which facilitates the access of fungal infections.

Be healthy!

If you refuse sandwiches with white bread and smoked sausage, after a year you will find that your weight has decreased. And this is without any effort.

If you give up sandwiches with white bread and smoked sausage, after a year you will find that your weight has decreased. And this is without any effort. But for many, a sandwich is a favorite “dish” for breakfast or a snack. What to do? Do not be discouraged, it can be made “safe” for the figure. The memo is in front of you.

Bread. Instead of fluffy wheat bread, choose rye, multigrain, or sourdough bread. These types have more fiber, which is necessary for normal digestion and vitamins.

Greens and vegetables. Lettuce, arugula , lettuce, crispy thin slices of fresh cucumber, avocado, tomatoes are an excellent filler for a healthy sandwich. They contain a large amount of folic acid, vitamin C, rutin, which strengthen the walls of blood vessels.

Meat. Replace smoked sausage with lean meat (turkey, beef, pork tenderloin, lamb fillet, rabbit). It is a source of complete protein, iron, vitamin B12 and calcium. They are necessary for blood formation, prevention of anemia and strengthening of bone tissue.

It is better to boil the meat, grill or fry in a “dry” frying pan without oil.

Sauce. Do not overuse commercial sauces, they are too high in preservatives, sugar and extra calories. Make homemade sauce. Take low-fat yogurt without additives, drip olive oil and lemon juice into it, you can add your favorite spices or fresh herbs.

Proper nutrition is an important part of a weight loss program, so the diet should be balanced. But sometimes it happens that the weight “does not go away” even when a person eats rationally. In this case, it is important to exclude various diseases that interfere with weight loss. Especially for this, CITILAB doctors have developed a complex “Slim figure”

It includes 13 different indicators, including hormones, the imbalance of which can affect weight fluctuations.

Top 3 healthy options for a snack or breakfast

1. Sandwich “Green”
 Ingredients: avocado, cucumber, tomatoes, mozzarella , sourdough bread.

For the sauce, mix yogurt with lemon juice and freshly chopped basil and tarragon. Spread the sauce on the bread, put the filling on top and cover with the other half of the bread.

2. Classic Greek Pita Gyros Ingredients: grilled chicken breast, red bell pepper, purple onion, lettuce.

For the sauce, combine Greek yogurt, chopped dill and black pepper. Make a cut in the pita , brush the inside of the pita with sauce, and then gently place lettuce, bell peppers, onions and chicken breast inside the cut.

3. Sandwich with hummus Ingredients: red pepper grill, hummus , avocado, ricotta cheese , rye bread.

Spread hummus on the bread, top with a layer of ripe avocado mashed with a fork, ricotta , fresh basil leaves and thin slices of grilled pepper.

Be always active!

Oily skin, acne, unpleasant itching, redness – all this can be the cause of exacerbation of existing skin diseases. It is important to immediately exclude parasitic infection.

To eliminate relapses of atopic dermatitis, rosacea and other skin diseases , special pharmacy cosmetics and medicines are often used (they are prescribed only by a doctor).

But for some, symptoms progress. Unbearable itching appears in the eyebrows, nasolabial folds, along the edge of the eyelashes. The complexion changes, it becomes grayish. The skin becomes bumpy. Often, against the background of these symptoms, blepharitis or blepharoconjunctivitis develops . In this situation, it is better to immediately exclude the parasitic infection. Since the cause of this condition may be the demodex subcutaneous mite .

What is demodicosis

Acne – a skin disease, which provokes opportunistic mite Zheleznitsa acne kind of Demodex ( Demodex ). There are two types of parasites on humans: Demodex folliculorum and Demodex brevis . Mites parasitize in the sebaceous glands and hair follicles. The main condition for their existence is a sufficient amount of sebum . Therefore, Demodex prefers to “settle” on the skin of high fat content. A favorite place for localization of demodex is the skin of the eyelids and forehead, above the eyebrows, folds around the nose and mouth, chin, external auditory canal.

According to statistics, about 60% of people are infected with demodex , but not everyone has the disease.

The development of the disease can be provoked by:

– reduced immunity;

– hormonal disorders;

– stress;

– chronic infection;

– Excessive consumption of caffeine-reducing drinks (tea, coffee, energy);

– abuse of solarium, tanning;

– long-term work at the computer;

– the use of cosmetics based on hormonal components (including herbal).

More often than others, demodicosis develops in women (compared to men) and in those who suffer from atopic dermatitis, rosacea (it has been proven that in 84% of cases rosacea is provoked by mites of the genus Demodex ). Parasites are transmitted from an infected person to a healthy person, for example, by kissing and touching the skin.

The disease has a pronounced seasonal character: most often the disease worsens in the spring. And that’s why. An increase in air temperature and humidity is one of the triggers for the development and reproduction of the tick. He also feels great, “living” in bottles and jars of creams containing a large amount of oils and animal fats, including petroleum jelly. But at temperatures below 14 ° C, the mite “falls asleep” and dies.

What is the danger of demodicosis and can it be cured

If the mite begins to multiply rapidly, its waste products accumulate in the skin. In large quantities, they lead to disruption of various functions of the skin, primarily protective, and the development of hypersensitivity. In addition, moving from the hair follicle to the surface of the skin, the parasites carry a huge number of bacteria that cause inflammation.

One of the serious consequences of demodicosis is damage to the eyes and eyelids. The tick causes blepharoconjunctivitis , keratitis, nonspecific inflammatory changes in the skin around the eyes. At the same time, slight swelling, redness and roughness of the eyelids of the eyelid conjunctiva, itching and fatigue, and dry eye syndrome appear. Plaque forms along the edge of the eyelids and scales around the eyelashes.

It is important to understand that demodicosis is difficult to treat, the disease is chronic. And even after a long therapeutic course, a complete cure does not occur.

To achieve a long period of remission, according to the doctor’s prescription, external imidazole derivatives, topical antibiotics ( clindamycin , erythromycin, etc.), disinfectants (sulfur, zinc, tar preparations), antiparasitic agents ( benzyl benzoate , crotamiton ), aromatic retinoids are used .

It is also recommended to limit the diet of spicy, spicy foods, fast carbohydrates (baked goods, sweets, fast food ).

Special cosmetic care is required. After washing, do not dry yourself with a towel, but use disposable paper napkins. Use hypoallergenic cosmetics with SPF filters that protect the skin from overheating. Clean makeup brushes and sponges daily with disinfectants.

Diagnosis of demodicosis

To identify Demodex , laboratory diagnostic methods are used. They are informative and do not require special training from the patient. Eyelashes and / or skin scrapings are used. The biomaterial is examined under a microscope for the detection of parasites and the degree of infection, in the case of demodectic skin.

If you notice that there are problems with the skin – it has become more oily, pores are noticeable, eyelashes fall out, in the evening there is a feeling of tickling and crawling on the skin, itching occurs in the eyebrows, nasolabial folds – perform tests to identify the demodex subcutaneous mite in CITILAB.

Important to know !

Before conducting the study the women are not recommended to use any makeup , in fact including decorative ( Tone cream , mascara , blush and others .)

demodex and fungal infection, it includes the most important biochemical indicators, including hormones.

It is convenient that as soon as the ordered studies are fully prepared, the doctor will call you and comment on the test results. You will also find out which doctor should be consulted for further examination and treatment.

Always be healthy and beautiful!

The World Health Organization annually updates the list of global threats to humanity. This year, along with cardiovascular diseases, cancer, diabetes, he got a refusal of vaccinations.

People who speak out against vaccinations and do not vaccinate their children – anti- vaccines , not only risk themselves, but also put others at risk. Moreover, the threat is quite real, just remember the autumn measles epidemic in Europe and Ukraine. Increased migration flows only exacerbate the situation.

How to sign up for a vaccination?

All vaccinations for adults included in the National Preventive Vaccination Schedule can be delivered free of charge at the district polyclinic. All you need to take is a compulsory medical insurance policy, make an appointment with a therapist and get a referral to the vaccination room. Vaccinations are given strictly on the day of examination by a therapist.

Vaccination is carried out against the background of complete health. It is not recommended to vaccinate during exacerbations of chronic diseases or ARVI / ARI. In this case, it is necessary to wait 10-14 days after the illness and then go to the doctor.

Information about all vaccinations with the name of the vaccine is entered into your personal Certificate of Preventive Vaccinations, and endorsed by the medical institution. The certificate remains in your hands and is valid throughout Russia.

Preventive vaccinations from the National Calendar

Diphtheria, tetanus

Revaccination is repeated every 10 years for adults over 18 years of age. A combined vaccine is used. There are no absolute contraindications.

Diphtheria is spread from person to person. The disease is very contagious and insidious: at the initial stage, the infection is disguised not just as an acute respiratory disease, but as a lung acute respiratory infection. Further – it resembles the symptoms of angina. The main danger of diphtheria is severe complications for the heart, kidneys, blood coagulation system, and the respiratory system.

To assess the level of immunity and protection against diphtheria before vaccination, you can perform the test for “Antibodies to diphtheria toxoid (RPHA, total)” in CITILAB (research code 45-20-401).

Hepatitis B virus

Unvaccinated adults should be vaccinated regularly from 18 to 55 years of age. Depending on the order of revaccination and the strength of the immune system, it is repeated after 3 or 5 years. You can check whether immunity has formed using a laboratory test at CITILAB. This is the Anti- HBs Antibodies total test . Read more about the hepatitis B virus in a separate article .

Measles

A viral, highly contagious disease. In adults who have not been vaccinated with the measles vaccine, it is more severe than in children and causes serious complications in the form of pneumonia, lesions of the cornea of ​​the eye, meningitis, meningoencephalitis . Immunity after vaccination lasts 12 years or more. To assess the strength of post-vaccination immunity to measles virus in CITILAB, you can perform the study “Antibodies to measles virus IgG ” (studies 43-20-110).

Rubella

The rubella virus is especially dangerous to the fetus. Therefore, the rubella vaccine is recommended to be given to all women from 18 to 25 years old who are planning a pregnancy, who have not previously been ill, not vaccinated, vaccinated once, or who have no information about rubella vaccinations.

When planning a pregnancy, before vaccination, you can perform a test in CITILAB for the presence of immunity to rubella: “Rubella antibodies IgG .

Flu

Dangerous for its complications. Therefore, the vaccine is recommended to be repeated annually. The vaccination is especially recommended for those who have chronic diseases of the lungs, cardiovascular system, diabetes mellitus, obesity, as well as older people over 60 years old.

Additional vaccinations

Vaccinations not included in the National Preventive Vaccination Schedule are paid additionally. These include pneumococcal infection, hepatitis A, tick-borne encephalitis, shigillosis (dysentery).

Doctors of CITILAB remind that timely vaccination is one of the most effective ways to prevent serious infections and their spread.

Be healthy!

Unmotivated headache, “jumping” pressure, loss of energy, malaise and lethargy, insomnia – many blame bad weather for this. But the problem lies in the disruption of the autonomic nervous system.

Vegetative dysfunction or vegetative-vascular dystonia (VVD) is far from safe for humans. In addition to unpleasant symptoms that reduce the quality of life, in some cases, VSD is the first harbinger of hypo – and / or hypertension, atherosclerosis. To prevent the development of these serious diseases, it is important to understand the causes in time.

The main causes of vegetative-vascular dystonia

Frequent causes of disorders in the functioning of the autonomic nervous system are:

•                       constant stress, overwork, lack of sleep and rest;
•                       diseases of the endocrine system, kidneys;
•                       hereditary predisposition.

Excessive emotional stress, worries, for example, about work, personal life, fear of the future – all this stimulates the production of the stress hormone cortisol. Constantly elevated levels of this hormone enhances the functioning of the autonomic nervous system. As a result, headache, nervousness, insomnia, anxiety appear; in some cases, aggression.

Studies with VSD

Before you start taking sedatives on your own, it’s important to measure your blood cortisol levels. In this case, the selection of pharmacotherapeutic agents will be reasonable and effective. CITILAB is conducting research for this .

To avoid the additional stress associated with the trip to the clinic, call the nurse at home. She will make all the necessary manipulations, and then transport him to the laboratory for research. You will receive the test results in your personal account on the citilab.ru website or by e- mail .

But not only an increased level of cortisol can be the cause of vegetative-vascular dystonia. Low or high (“jumping”) pressure, which many complain about in the autumn-winter period, may be due to a lack / excess of fluid in the body. And the point here is not how much water you use (maybe a sufficient amount), but the imbalance of the hormones renin and aldosterone.

Renin controls blood pressure levels. Increased or decreased levels indicate abnormal blood pressure, possible kidney failure, and kidney damage. If the production of renin is disturbed, more aldosterone is produced, a steroid hormone that stimulates the elimination of excess fluid from the body. As a result, edema, increased fatigue, and increased blood pressure appear.

The study identifies these disorders and allows the doctor to prescribe the correct pharmacotherapeutic support for your better well-being.

Be healthy!

The first snow and fresh frosty air do not bring joy to everyone. In some people, they can cause blisters on the skin that resemble a plant burn. This is an allergy to cold or cold urticaria.

Such a reaction to low temperatures can appear not only due to snowflakes. Washing your face with cold water, drinking cold drinks, including ice, can also provoke an allergic reaction.

Cold urticaria symptoms

Cold urticaria symptoms occur almost immediately after contact with an allergen – water, ice, sleet. Most often, it affects young women between the ages of 18 and 25. Distinguish between hereditary cold urticaria (occurs less often) and primary (acquired) – is recorded more often. Some experts associate the appearance of primary urticaria with a recent infection, for example, with diseases caused by Epstein- Barr viruses , herpes virus; diseases of the autoimmune system, systemic vasculitis . But more often, such a reaction is a consequence of the individual characteristics of a person.

Signs of cold urticaria:

•                       itching, unpleasant burning sensation of the skin after contact with cold water, ice, snow; a reaction can also occur after going out into the frosty air;
•                       blisters, redness, and / or swelling of the skin; in some cases, Quincke’s edema .

Even the most casual walk without gloves can lead to cold allergies. Rashes and redness usually appear on the hands and face.

Usually, to clarify the diagnosis, the doctor conducts a special test – a provocative ice test. A small ice cube enclosed in a plastic bag is applied to the skin. The result is evaluated after 10 minutes. With a positive reaction, a blister or severe redness occurs at the application site. In addition, blood tests (general, biochemistry), studies to determine the level of serum immunoglobulins, fibrinogen protein, the detection of antibodies to the Epstein- Barr virus, hepatitis C and B, chlamydia are often prescribed .

Safety regulations

To minimize the manifestations of cold urticaria, it is recommended:

•                       avoid hypothermia;
•                       take a warm shower, rinse your face with warm water;
•                       clothes should be made of cotton or soft wool, not synthetic !;
•                       in winter, be sure to wear a hat and a scarf;
•                       exclude cold food / drinks from the diet;
•                       exclude outdoor sports in the cold season;
•                       use protective creams and balms for the face, lips and hands (preferably from the segment of pharmacy cosmetics);
•                       use antihistamines during exacerbation of urticaria according to the scheme prescribed by the attending physician.